Individual provider Active NPI

Kristin Myers Whitford, RPH

  • Pharmacist
  • Hamburg, NY
National Provider Identifier
1083899728
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
039679 Issued in NY
Practice address
206 Lake St
Hamburg, NY 14075-4471
Phone
(716) 646-3147
Fax
(716) 515-3309
NPI assigned
Dec 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 039679 NY Primary

Addresses

Primary practice location

206 Lake St
Hamburg, NY 14075-4471

Mailing address

5435 Maelou Dr
Hamburg, NY 14075-3736
Phone (716) 649-8959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
039679NYMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1083899728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 MAELOU DR",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753736",
            "telephone_number": "716-649-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 LAKE ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754471",
            "telephone_number": "716-646-3147",
            "fax_number": "716-515-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITFORD",
        "first_name": "KRISTIN",
        "middle_name": "MYERS",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "039679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.